Organization
JILL L BRYANT APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL L BRYANT (NURSE PRACTITIONER)
(606) 521-0071
Entity
Organization
Contact information
Practice address
406 N HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1545
(606) 521-0071
Mailing address
980 OLD CORBIN PIKE RD, WILLIAMSBURG, KY 40769-2099
(606) 521-0071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006489
KY
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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